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Camp Week

Select One Or More Camp Weeks: Week 1: June 5th – June 9th

Camper Information

Name: Muhammad Rayyan

Age: 11

Grade Going Into: 6th

School Name: Gulf View Middle School

Address: 12997 Pembroke Drive
Naples, FL 34105

Parent/Guardian Information

Name: Nadia Rayyan

Primary Phone: 3059220351

Secondary Phone:

Email: Nadiarayyan@gmail.com

Relationship To Child: Mother

Does Your Child Need a Modification / Accommodation?

Electronic Signature: I agree to send my child to Ocean Kids Camp

Name Of Person(s) Allowed To Pick Up Child

Name Of Person(s) NOT Allowed To Pick Up Child

Payment

Total Cost ($200/Week): 0.00

Scholarship#: OKC23